Assisted Living Communities

Assisted Living Communities
Assisted Living Communities

Assisted Living (AL) Communities on Long Island typically serve 80-120 residents. These communities are in a variety of settings – from Main Streets in the many small towns of Long Island, to high rises in more urban areas of Western Nassau and Eastern Queens, and in beautiful quiet settings in more suburban or rural areas. There are (AL) options everywhere on our Island, and there is a type of Community to meet most needs. Most seniors and families tell us that they pick the Community based on several factors. These are:

  1. Proximity to the senior’s former residence, or proximity to the family. Most families eventually choose Communities closest to the family most likely to visit, not the senior’s former residence.

  2. Care level and type available. Although most Communities on Long Island provide good care for basic personal care needs, New York State offers two higher levels of certification - Enhanced Care and Special Needs. Enhanced Care enables the AL Community to offer services like measured dose insulin injections and other care approaching that of a nursing home. Special Needs certification typically means that the Community has special training and services available for seniors living with Dementia and related conditions.

  3. Cost. While there are Communities on Long Island providing Assisted Living for around $3,000 a month, a more typical fee is $5,500 to $8,500. Medicare does not pay for AL. Residence in one of the many Fee-for-Service communities on Long Island and Queens are often funded by the sale of the senior’s house or apartment, retirement savings, other financial assets, and Long-Term Care insurance policies. Care at most communities has two or three components – Rent, Care, and Medication Management. A few Communities have adopted an ‘all inclusive’ pricing model. This is most common in Memory Care Communities or units. The average monthly cost for Memory Care on Long Island is $6,500 - $10,000.

  4. Payment Sources. Most communities present the resident or their family with a monthly bill. The senior/family is responsible for paying the bill and managing their own finances. Typically, there is little acceptance of any benefits directly by the community.
  5. The payment sources often utilized by seniors and families include:

    • Social Security Retirement Payments
    • Veteran’s Cash Benefits
    • Pensions
    • Long-Term Care Insurance - Learn More
    • Resident Savings
    • Money From the Sale of a Primary Residence
    • Life Settlement and Other Income Sources

  6. Medicaid. There are about 12 Communities on Long Island and in Queens that accept Medicaid. Generally speaking, if the senior lived a middle-class life or higher, then they would more typically find commercial (fee for service) Assisted Living Communities like Bristal, Atria, and Sunrise options most comfortable. It is in these Communities that they will find people and activities they recognize from their previous residence. If the senior lived a working-class life, then they would be more likely to feel comfortable in the surroundings of some of the nicer Medicaid funded facilities, like Amber Court and Braemar.


AL communities offer several options for the actual residence. Most offer a range of choices – shared rooms, private single rooms, and one- or two-bedroom apartments. These options help seniors and families find a price point in a community. The Communities offer a range of services, including three meals plus snacks each day, a variety of both physical and social activities in common spaces, group trips outside the Community, visiting medical services, and religious and educational services.

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